Womans Health

HPV DNA Screening Lengthens Testing Intervals

HPV DNA Screening Lengthens Testing Intervals

Cervical cancer, caused by persistent cervical infection by highrisk HPV and made worse by the HIV epidemic, remains an important cause of morbidity and mortality in South Africa. The SA HPV Advisory Board previously recommended HPV-based primary screening and now international support for this approach is also mounting in view of higher sensitivity. The main advantages for South Africa is the ability to safely increase screening interval and to test cervico-vaginal self-sampled specimens.

Modern Medicine – Oct/Nov 2018

November 8, 2018 by Cancer Womans Health

Cranberry Stops E.coli Adhesion, Preventing UTIs

Cranberry Stops E.coli Adhesion, Preventing UTIs

Each year, urinary tract infections (UTIs) account for >11 million doctor visits in the USA and 2 million doctor visits in France and 3.5 million antimicrobial prescriptions.1,2 Escherichia coli, the major pathogen involved in these infections, has developed new mechanisms of resistance against ß-lactams and fluoroquinolones which are commonly used to treat UTIs. The effectiveness of cranberry proanthocyanidins and cranberry beverages against antibiotic-resistant E. coli has been described in a number of studies.

Modern Medicine – June/July 2018

July 17, 2018 by Urology Womans Health

Female Urinary Incontinence Effective management in primary care

Female Urinary Incontinence Effective management in primary care

Female urinary incontinence is a common and distressing problem. Overactive bladder and stress urinary incontinence are the two common types of urinary incontinence in women. Most women with urinary incontinence can be managed effectively in primary care. Women with refractory incontinence and those with more complex presentations and associated problems should be referred for specialist management. Conservative management of overactive bladder involves pelvic floor muscle training, bladder retraining and fluid management. Antimuscarinic medication is the mainstay of drug therapy for overactive bladder. Stress urinary incontinence should be treated initially with pelvic floor muscle training.

Modern Medicine – June/July 2018

July 17, 2018 by General Practice Urology Womans Health

Bacterial Vaginosis, a Common Reason for Seeking Help

Bacterial Vaginosis, a Common Reason for Seeking Help – MM1611

Bacterial vaginosis (BV) is a condition characterised by the partial loss of the indigenous vaginal lactobacilli coupled with polymicrobial overgrowth of the vaginal epithelium. Although BV often remains asymptomatic, it is one of the most common causes of vaginitis, and hence among the most common reasons for women seeking medical help.

Modern Medicine – November 2016

December 8, 2016 by Womans Health

Pelvic Organ Prolapse: What Choice Do I Have?

Pelvic Organ Prolapse: What Choice Do I Have? – MM1605

Pelvic organ prolapse is a common, distressing and disabling condition encountering increasing incidences with advancing age, menopause and parity. It is the downward descent of female pelvic organs, including the bladder, uterus or post-hysterectomy vaginal cuff and the small or large bowel, resulting in protrusion of the vagina, uterus, or both.

Prolapse development is multifactorial, with vaginal delivery, hysterectomy, chronic straining, normal ageing and abnormalities of connective tissue or connective-tissue repair predisposing some women to disruption, stretching, or dysfunction of the levator ani complex, connective-tissue attachments of the vagina, or both, resulting in prolapse. Many women with pelvic organ prolapse are asymptomatic and do not need treatment. When prolapse is symptomatic, options include observation, pessary use and surgery.

Modern Medicine – May 2016

May 31, 2016 by Gynaecology Urology Womans Health

Overactive Bladder in Women Achieving effective management

Overactive Bladder in Women Achieving effective management – MM1602

Overactive bladder (OAB) has been defined as urinary frequency and nocturia (night-time voiding more than once per night) in the setting of urgency (a sudden, compelling desire to void that is difficult to defer) and in the absence of pathological or metabolic conditions that may explain the symptoms. Female urinary incontinence is a common problem with an estimated prevalence of 25%. Quality of life is significantly impacted by urinary incontinence, often leading to embarrassment and social isolation.

Modern Medicine – February 2016

February 18, 2016 by Overactive Bladder Urology Womans Health
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